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South Dakota rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $4.70 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.44 / $7.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $9.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $7.94 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $4.19 / $7.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $7.56 / $9.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.67 / $14.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.71 / $7.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.43 / $6.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18